Display options
Cite
Rayes D, Meiqari L, Yamout R, et al. Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria. Confl Health. 2021;15(1):36doi: 10.1186/s13031-021-00367-4.
Rayes, D., Meiqari, L., Yamout, R., Abbara, A., Nuwayhid, I., Jabbour, S., & Abouzeid, M. (2021). Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria. Conflict and health, 15(1), 36. https://doi.org/10.1186/s13031-021-00367-4
Rayes, Diana, et al. "Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria." Conflict and health vol. 15,1 (2021): 36. doi: https://doi.org/10.1186/s13031-021-00367-4
Rayes D, Meiqari L, Yamout R, Abbara A, Nuwayhid I, Jabbour S, Abouzeid M. Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria. Confl Health. 2021 May 07;15(1):36. doi: 10.1186/s13031-021-00367-4. PMID: 33962634; PMCID: PMC8103581.
Copy Download .nbib Format: NLM
Share it on

Confl Health. 2021 May 07;15(1):36. doi: 10.1186/s13031-021-00367-4.

Policies on return and reintegration of displaced healthcare workers towards rebuilding conflict-affected health systems: a review for The Lancet-AUB Commission on Syria.

Conflict and health

Diana Rayes, Lana Meiqari, Rouham Yamout, Aula Abbara, Iman Nuwayhid, Samer Jabbour, Marian Abouzeid

Affiliations

  1. The Lancet-AUB Commission of Syria, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
  2. Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
  3. Vrije Universiteit Amsterdam, Amsterdam, Netherlands.
  4. Imperial College London, London, UK.
  5. The Lancet-AUB Commission of Syria, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon. [email protected].
  6. Alfred Deakin Institute for Citizenship and Globalisation and Centre for Humanitarian Leadership, Deakin University, Geelong, Australia.

PMID: 33962634 PMCID: PMC8103581 DOI: 10.1186/s13031-021-00367-4

Abstract

BACKGROUND: War and armed conflicts severely disrupt all health system components, including the healthcare workforce. Although data is limited on the scale of health care worker (HCW) displacement in conflict zones, it is widely acknowledged that conflict conditions result in the displacement of a significant portion of qualified HCWs from their country of origin. While voluntary HCW return is integral to health system rebuilding in conflict-affected and post-conflict settings, there has been little exploration of the nature of national or international policies which encourage HCW return and reintegration to their home countries in the post-conflict period.

METHODS: We conducted a systematic review to identify policies and policy recommendations intended to facilitate the return of displaced HCWs to their home countries and acknowledge their contribution to rebuilding the post-conflict health system. We searched three bibliographic databases and a range of organisational and national health agency websites to identify peer-reviewed articles and grey literature published in English or Arabic between 1 January 1990 to 24 January 2021, and extracted relevant information. We classified policies and policy recommendations using an adapted version of the UNHCR 4Rs Framework.

RESULTS: We identified nine peer-review articles and four grey literature reports that fit our inclusion criteria, all of which were published in English. These covered issues of repatriation (n = 3), reintegration (n = 2), health system rehabilitation and reconstruction (n = 2); six documents covered several of these themes. Information was available for nine conflict contexts: Afghanistan, Iraq, Kosovo, Lebanon, Namibia, Northern Uganda, South Sudan, Timor Leste, and Zimbabwe. Findings demonstrate that health system rebuilding and rehabilitation serve as precursors and reinforcers of the successful return, repatriation, and reintegration of displaced HCWs.

CONCLUSIONS: Despite the significant numbers of HCWs displaced by conflict, this study identified few specific policies and limited information explicitly focused on the repatriation and reintegration of such workers to their home country in the post-conflict period. Additional research is needed to understand the particular barriers faced by conflict-displaced HCWs in returning to their home country. Conflict-affected and post-conflict states should develop policies and initiatives that address factors within and beyond the health sector to encourage displaced HCW return and provide sustainable reintegration solutions for those who return to post-conflict health systems.

Keywords: Displacement; Healthcare workforce; Human resources for health; Post-conflict health systems; Reintegration; Return

References

  1. Lancet. 2005 Dec 17;366(9503):2075-6 - PubMed
  2. Ann Intern Med. 2009 Aug 18;151(4):264-9, W64 - PubMed
  3. BMJ. 2019 May 14;365:l2205 - PubMed
  4. Lancet. 2006 Sep 23;368(9541):1119-25 - PubMed
  5. Int Nurs Rev. 2005 Jun;52(2):123-33 - PubMed
  6. Lancet. 2008 Sep 6;372(9641):788-9 - PubMed
  7. BMC Health Serv Res. 2008 Sep 24;8:195 - PubMed
  8. Am J Disaster Med. 2020 Winter;15(1):49-69 - PubMed
  9. PLoS One. 2020 May 29;15(5):e0233757 - PubMed
  10. Hum Resour Health. 2019 Apr 17;17(1):27 - PubMed
  11. Lancet. 2014 Feb 1;383(9915):449-57 - PubMed
  12. Lancet. 2013 Mar 16;381(9870):939-48 - PubMed
  13. PLoS Med. 2011 Dec;8(12):e1001146 - PubMed
  14. BMJ Glob Health. 2017 Jul 28;2(2):e000327 - PubMed
  15. Disasters. 2011 Oct;35(4):661-79 - PubMed
  16. Lancet. 2017 Dec 2;390(10111):2516-2526 - PubMed
  17. Confl Health. 2018 Jun 27;12:28 - PubMed
  18. Hum Resour Health. 2018 Nov 29;16(1):66 - PubMed
  19. Fam Med. 2003 Jun;35(6):440-4 - PubMed
  20. BMJ. 2015 Jun 30;350:h3479 - PubMed

Publication Types